NPI 1063051985

Jessica Jackson

Practitioner Pharmacist Coralville, IA

Practice location

Address: 1914 8th St, Coralville, IA 52241-1612
Phone: (319) 381-3880

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 21729 (IA)

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Registry record

NPI: 1063051985
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Dec 2019
Record last updated: 23 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.